A-3.001, r. 7 - Regulation respecting financing

Section 97 Disposition versions

2012-09-01

97. The compensation cost of an accident or disease contemplated in section 95 is determined as follows:

(1)  calculate the aggregate of:

(a)  the total obtained by adding the cost of the rehabilitation benefits to which the worker is entitled under Chapter IV of the Act (with the exception of reimbursements made under section 176 of the Act), the cost of medical aid benefits to which the worker is entitled under Chapter V of the Act for services rendered or items received during the reference period, and the cost of services provided by a health professional designated by the Commission under section 204 of the Act in respect of services rendered during that period;

(b)  the total of all income replacement indemnities to which the worker is entitled under Division I of Chapter III of the Act and which relate to a period included in the reference period;

(c)  the total of all lump sum death benefits to which beneficiaries are entitled under the second paragraph of section 102 and under section 103 of the Act, where a minor child reaches the age of majority in the reference period, even if the decision granting such benefits has not yet become final;

(d)  the total of all indemnities paid in the form of a pension to which beneficiaries are entitled under section 101 and the first paragraph of section 102 of the Act and which relate to a period included in the reference period;

(e)  the total of all expenses reimbursable under section 111 of the Act for services rendered or items received during the reference period;

(f)  the total of all other indemnities to which beneficiaries are entitled under Division III of Chapter III of the Act where the death occurred during the reference period, even if the decision granting the indemnities has not yet become final;

(g)  the total of all other indemnities to which the beneficiaries are entitled under Division IV of Chapter III of the Act for services rendered during the reference period, or, in the case of a benefit contemplated in section 116 of the Act, where the date on which the assessments are payable falls within the same period;

(2)  multiply the result obtained in subparagraph 1 by the factor determined in accordance with Division III of Schedule 6;

(3)  add the result obtained in subparagraph 2, the total amount of indemnities for bodily injuries to which the beneficiaries are entitled under Division II of Chapter III of the Act where the initial decision granting the indemnities was rendered during the reference period, even if the decision has not yet become final, and the reimbursements made under section 176 of the Act during the reference period.

The interest applicable to the benefits is not taken into account for the purposes of the first paragraph.

Decision 2010-11-18, s. 97.